Individual
KATHERINE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 CENTRAL AVE, SUMMERVILLE, SC 29483-3752
(843) 209-4694
Mailing address
624 W RICHARDSON AVE, SUMMERVILLE, SC 29483-6032
(843) 209-4694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5054
SC
225XG0600X
Gerontology Occupational Therapist
—
—
Other
Enumeration date
07/20/2017
Last updated
10/14/2020
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